Cited by 684Adrenal Hormones and DisordersStress Responses and CortisolClinical Laboratory Practices and Quality Control

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Salivary Cortisol: A Better Measure of Adrenal Cortical Function than Serum Cortisol

Vining, Ross F, McGinley, Robynne A, Maksvytis, Joseph J, Ho, Kian Y·1983·Annals of Clinical Biochemistry International Journal of Laboratory Medicine

DOI 10.1177/000456328302000601

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Abstract

Salivary cortisol concentration was found to be directly proportional to the serum unbound cortisol concentration both in normal men and women and in women with elevated cortisol-binding globulin (CBG). The correlation was excellent in dynamic tests of adrenal function (dexamethasone suppression, ACTH stimulation), in normals and patients with adrenal insufficiency, in tests of circadian variation and randomly collected samples. Women in the third trimester of normal pregnancy exhibited elevated salivary cortisol throughout the day. The relationship between salivary and serum total cortisol concentration was markedly non-linear with a more rapid increase in salivary concentration once the serum CBG was saturated. The rate of equilibrium of cortisol between blood and saliva was very fast, being much less than 5 minutes. These data, combined with a simple, stress-free, non-invasive collection procedure, lead us to suggest that salivary cortisol is a more appropriate measure for the clinical assessment of adrenocortical function than is serum cortisol.

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Authors: Vining, R. F., McGinley, R. A., Maksvytis, J. J., & Ho, K. Y.
Affiliations: Garvan Institute of Medical Research (AU)
Venue: Annals of Clinical Biochemistry International Journal of Laboratory Medicine
Publisher: SAGE Publications
Published: 1983-11
Volume: 20
Issue: 6
Pages: 329-335
ISSN: 0004-5632 (ISSN-L)
1758-1001
DOI: 10.1177/000456328302000601
OpenAlex: W2062000903
Cited by: 684
References: 18
Citations by year: 2026: 16 · 2025: 19 · 2024: 15 · 2023: 38 · 2022: 29 · 2021: 21 · 2020: 19 · 2019: 19 · 2018: 26 · 2017: 30 · 2016: 24 · 2015: 22 · 2014: 40 · 2013: 29 · 2012: 32
FWCI: 1.87
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Annals of Clinical Biochemistry International Journal of Laboratory Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Health Sciences › Health Professions › Medical Laboratory Technology › Clinical Laboratory Practices and Quality Control
Keywords: salivary cortisol, serum cortisol, corticosteroid-binding globulin, adrenal function testing, dexamethasone suppression test, ACTH stimulation test, adrenal insufficiency, pregnancy
MeSH terms: Adrenal Cortex, Adrenal Cortex Function Tests, Adrenocorticotropic Hormone, Adult, Carrier Proteins, Circadian Rhythm, Dexamethasone, Female, Humans, Hydrocortisone, Male, Pregnancy, Pregnancy Trimester, Third, Saliva, Sex Factors

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Salivary Cortisol: A Better Measure of Adrenal Cortical Function than Serum Cortisol

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